Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
I agree to, acknowledge, and represent the following:
"Lender" includes the Lender’s agents, service providers, and any of
their successors and assigns.
"Other Loan Participants" includes (i) any actual or potential owners of
a loan resulting from this application (the “Loan”), (ii) acquirers of
any beneficial or other interest in the Loan, (iii) any mortgage insurer,
(iv) any guarantor, (v) any servicer of the Loan, and (vi) any of these
parties' service providers, successors or assigns.
(1) The Complete Information for this Application
The information I have provided in this application is true, accurate,
and complete as of the date I signed this application.
If the information I submitted changes or I have new information
before closing of the Loan, I must change and supplement this
application, including providing any updated/supplemented real
estate sales contract.
For purchase transactions: The terms and conditions of any real
estate sales contract signed by me in connection with this application
are true, accurate, and complete to the best of my knowledge and
belief. I have not entered into any other agreement, written or oral, in
connection with this real estate transaction.
The Lender and Other Loan Participants may rely on the information
contained in the application before and after closing of the Loan.
Any intentional or negligent misrepresentation of information may
result in the imposition of:
civil liability on me, including monetary damages, if a
person suffers any loss because the person relied on any
misrepresentation that I have made on this application, and/or
criminal penalties on me including, but not limited to, fine or
imprisonment or both under the provisions of Federal law
(18 U.S.C. §§ 1001 et seq.).
(2) The Property’s Security
The Loan I have applied for in this application will be secured by
a mortgage or deed of trust which provides the Lender a security
interest in the property described in this application.
(3) The Property’s Appraisal, Value, and Condition
Any appraisal or value of the property obtained by the Lender is
for use by the Lender and Other Loan Participants.
The Lender and Other Loan Participants have not made any
representation or warranty, express or implied, to me about the
property, its condition, or its value.
(4) Electronic Records and Signatures
The Lender and Other Loan Participants may keep any paper record
and/or electronic record of this application, whether or not the Loan
If this application is created as (or converted into) an “electronic
application”, I consent to the use of “electronic records” and
“electronic signatures” as the terms are defined in and governed by
applicable Federal and/or state electronic transactions laws.
• I intend to sign and have signed this application either using my:
(a) electronic signature; or
a written signature and agree that if a paper version of this
application is converted into an electronic application, the
application will be an electronic record, and the representation
of my written signature on this application will be my binding
I agree that the application, if delivered or transmitted to the Lender
or Other Loan Participants as an electronic record with my electronic
signature, will be as effective and enforceable as a paper application
signed by me in writing.
The Lender and Other Loan Participants may report information about
my account to credit bureaus. Late payments, missed payments, or
other defaults on my account may be reflected in my credit report and
will likely affect my credit score.
If I have trouble making my payments I understand that I may contact
a HUD-approved housing counseling organization for advice about
actions I can take to meet my mortgage obligations.
(6) Authorization for Use and Sharing of Information
By signing below, in addition to the representations and agreements
made above, I expressly authorize the Lender and Other Loan
Participants to obtain, use, and share with each other (i) the loan
application and related loan information and documentation, (ii) a
consumer credit report on me, and (iii) my tax return information, as
necessary to perform the actions listed below, for so long as they have
an interest in my loan or its servicing:
(a) process and underwrite my loan;
verify any data contained in my consumer credit report, my
loan application and other information supporting my loan
inform credit and investment decisions by the Lender
and Other Loan Participants;
perform audit, quality control, and legal compliance analysis
(e) perform analysis and modeling for risk assessments;
monitor the account for this loan for potential delinquencies and
determine any assistance that may be available to me; and
(g) other actions permissible under applicable law.
Date (mm/dd/yyyy) / /
Additional Borrower Signature Date (mm/dd/yyyy) / /
Section 6: Acknowledgments and Agreements.
This section tells you about your legal obligations when
you sign this application.
Acknowledgments and Agreements